Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.70 / $301.39 / $301.39	Professional		$185.70	$301.39	$301.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.38 / $486.96 / $516.15	Professional		$405.38	$486.96	$516.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $255.66 / $699.10	Professional		$172.45	$255.66	$699.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.49 / $512.34 / $11,869.99	Facility		$222.49	$512.34	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.35 / $461.08 / $762.71	Professional		$234.35	$461.08	$762.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $345.50 / $594.87 / $4,681.18	Facility		$345.50	$594.87	$4,681.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.23 / $457.43 / $605.89	Professional		$302.23	$457.43	$605.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $364.30 / $490.30	Professional		$5.00	$364.30	$490.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $392.49 / $620.23	Professional		$219.11	$392.49	$620.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $351.20 / $351.20 / $413.10	Professional		$351.20	$351.20	$413.10